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This is VAERS ID 272106

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272106
VAERS Form:
Age:19.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-01-04
Onset:2007-01-12
Submitted:2007-02-06
Entered:2007-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Headache, Somnolence, Tremor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE? Fluticasone?
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: NONE - no testing performed by school
CDC 'Split Type':

Write-up:Mother reported that on 1/12/07 patient was found in dorm room shaking rapidly, unarousable for several minutes, dizzy when she did awaken and complain of headache next day. College infirmary said normal BP and neuro status intact. Patient denies use of a"ny alcohol or drugs.


Changed on 12/8/2009

272106 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-01-04
Onset:2007-01-12
Submitted:2007-02-06
Entered:2007-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Dizziness, Headache, Somnolence, Tremor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE? Fluticasone?
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: NONE - no testing performed by school
CDC 'Split Type':

Write-up:Mother reported that on 1/12/07 patient was found in dorm room shaking rapidly, unarousable for several minutes, dizzy when she did awaken and complain of headache next day. College infirmary said normal BP and neuro status intact. Patient denies use of a"ny any alcohol or drugs.


Changed on 9/14/2017

272106 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-01-04
Onset:2007-01-12
Submitted:2007-02-06
Entered:2007-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Headache, Somnolence, Tremor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE? Fluticasone?
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: NONE - no testing performed by school
CDC 'Split Type':

Write-up:Mother reported that on 1/12/07 patient was found in dorm room shaking rapidly, unarousable for several minutes, dizzy when she did awaken and complain of headache next day. College infirmary said normal BP and neuro status intact. Patient denies use of any alcohol or drugs.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272106&WAYBACKHISTORY=ON


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